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HANK Price Transparency. (n.d.).
OR LEVEL 4 (CDM 36000004) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved November 13, 2026 , from http://ppman.hank.ai/transparency/procedure/36000004/by-state?code_type=CDM
“OR LEVEL 4 (CDM 36000004) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/36000004/by-state?code_type=CDM. Accessed
November 13, 2026 .
“OR LEVEL 4 (CDM 36000004) by State,” HANK Price Transparency ,
accessed November 13, 2026 ,
http://ppman.hank.ai/transparency/procedure/36000004/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CDM · across United States
36000004 — Or Level 4
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$2,041
National median
$255 – $2,957
IQR (p25 – p75)
59
hospitals filing
13
states
Walking in without insurance?
Cash / self-pay price
Cash median
$2,693
vs. negotiated
+32.0%
Hospitals reporting
97
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 36000004 (CDM), with interquartile range
State Median p25 p75
IL $7,225 $7,225 $7,225
CT $6,533 $5,075 $6,533
KS $5,365 $5,365 $5,365
PA $2,910 $1,524 $4,075
ND $2,856 $2,400 $3,286
TX $2,500 $2,065 $3,142
MN $2,392 $1,805 $3,053
NY $1,971 $1,647 $2,638
WI $1,229 $1 $2,518
WA $327 $148 $570
MI $140 $71 $158
LA $59 $39 $89
MS $56 $53 $66